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Meeting Room Setup Request Form
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This form has been modified since it was saved. Please review all fields before submitting.
About the Form
Submit this form for CCL and Hankin programs which require a room setup in the Struble Room, Hankin Community Room, or Annex. The form should be submitted at least 7 days in advance of program date. The form will be submitted to Bruce Brown. Thank you for your cooperation.
Meeting Room Location
Struble Room (CCL)
Hankin Community Room
Hankin Annex
Program Title
*
Program Date & Time
*
Program Date & Time Start Date
Program Date & Time Start Time
—
Program Date & Time End Date
Program Date & Time End Time
Staff Person Name
*
Staff Person Phone Number
*
Staff Person Email Address
*
Outside Contact Name
*
Outside Contact Phone Number
*
Number of Attendees
*
Number of Chairs
*
Number of Tables
*
Type of Set-Up
-- Select One --
Classroom
Conference
Hollow Square
Theater
U-Shape
Other Instructions
*
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